A6261: Wound filler, gel/paste, per fluid ounce, not otherwise specified
A6261 is a HCPCS Level II code for wound filler, gel/paste, per fluid ounce, not otherwise specified. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q4-Oct. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusP
Bundled or excluded. No RVUs and no payment: either bundled into another service or paid under a different provision of the Act.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits: units per day
The most units of A6261 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0, never payable MAI 3: Date of Service Edit: Clinical · CMS Policy
- outpatient
- 3 units MAI 3: Date of Service Edit: Clinical · Clinical: Data
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute, no documentation overrides it. CMS MUE 2026Q4.
The CMS record for A6261
- Long descriptor
- Wound filler, gel/paste, per fluid ounce, not otherwise specified
- Short descriptor
- Wound filler gel/paste /oz
- Added
- January 1, 1997
- BETOS
- D1A
- Pricing indicator
- 46: DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service: CMS's own analytic grouping.
Carrier priced, not otherwise classified, individual determination, carrier discretion, or gap-filled amounts.
Codes adjacent to A6261
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If A6261 is not quite right, the correct code is very often within a few positions of it.
- A6253Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
- A6254Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
- A6255Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
- A6256Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
- A6257Transparent film, sterile, 16 sq. in. or less, each dressing
- A6258Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
- A6259Transparent film, sterile, more than 48 sq. in., each dressing
- A6260Wound cleansers, any type, any size
- A6262Wound filler, dry form, per gram, not otherwise specified
- A6266Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard
- A6402Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
- A6403Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing
- A6404Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
- A6407Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard
- A6410Eye pad, sterile, each
- A6411Eye pad, non-sterile, each